Relationship of leukocytes, platelet indices and adipocytokines in metabolic syndrome patients

Diabetes Metab Syndr. 2019 Jan-Feb;13(1):874-880. doi: 10.1016/j.dsx.2018.12.016. Epub 2018 Dec 20.

Abstract

Aims: The current study aimed to explore the correlation between leukocytes and platelets indices with adipocytokines (leptin and adiponectin) and MetS components.

Methods: A total of 100 healthy subjects and 200 patients diagnosed with different MetS components were enrolled in the study. Eligible patients were allocated into four groups (50 patients). Group1 include patients with 2 criteria of MetS components, group 2 with 3 criteria, group 3 with 4 criteria and group 4 had patients with 5 criteria.

Results: Regarding white blood cell indices, data showed that total leukocyte and neutrophil count as well as neutrophil/lymphocyte (N/L) ratio were significantly increased in all groups of MetS patients when compared to the healthy group. Additionally, platelets count, platelet distribution width (PDW), and main platelet volume (MPV) levels and platelets/lymphocyte (P/L) ratio were significantly higher in all patients with MetS as compared to the healthy subjects. Serum leptin concentration and leptin-to-adiponectin ratio (LAR) were elevated significantly, while adiponectin level was significantly diminished in all MetS groups when compared to the control.

Conclusion: leukocytes and platelets indices were associated with hyperleptinemia and hypoadiponectinemia as well as MetS components. The study also suggested the necessary role of leukocytes, platelet indices, and LAR as markers in early diagnoses of individuals with MetS components.

Keywords: Adiponectin; Leptin; Metabolic syndrome; Platelets indices; White blood cells indices.

MeSH terms

  • Adipokines / blood*
  • Adult
  • Blood Glucose / metabolism
  • Blood Platelets / metabolism*
  • Female
  • Humans
  • Leukocytes / metabolism*
  • Male
  • Mean Platelet Volume / methods
  • Metabolic Syndrome / blood*
  • Metabolic Syndrome / diagnosis*
  • Middle Aged

Substances

  • Adipokines
  • Blood Glucose